Client Intake Questionnaire
Choose Type of Consultation - an invoice will be sent to you upon completion
GI MAP Test with Consultation - Pay $375 Now (choose payment method below)
Choose your method of payment below and send payment based on package you chose. You MUST pay for the package you have chosen before the test kit(s) will be mailed to you. You will not be charged for the tests until you mail your sample back in.
Paypal, make payment to: JAD Wellness, LLC (least preferred as fees apply)
Click on the link below to sign the terms and conditions
Date of Birth + Age
Height + Current Weight
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This form was created inside of a Natural Shift.